Directs the coding audit and education operations.
Facilitates training, education, and support to hospital coders.
Provides support to all areas of Management, internal Coding and Billing.
CommonSpirit Health has more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services. They are committed to building healthy communities and advocating for those who are poor and vulnerable.
Analyze customer coding workflows and share best practices for automation and improvement.
Manage coding quality assessments, drive world-class coding standards, and present audit results to customers.
Serve as a subject matter expert on medical coding and billing, providing expert guidance to internal teams and supporting customer implementations.
CodaMetrix develops an AI-powered autonomous coding platform that translates clinical information into accurate medical codes for healthcare revenue cycle management. It is a fast-paced company dedicated to improving patient care by allowing physicians to focus on clinical work, and it offers a collaborative, inclusive, and authentic workplace with benefits like health insurance, 401(k), and generous PTO.
Review patient records and accurately assign appropriate ICD-10-CM, CPT, and HCPCS codes for diagnoses, procedures, and treatments.
Serve as the subject matter expert for the coding team by answering coding-related questions and providing guidance on complex scenarios to ensure adherence to guidelines.
Regularly audit the work of coding team members to ensure accuracy and compliance with payer requirements and identify areas for improvement.
Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. With over 60 clinics across 7 states and a culture of teamwork, positivity, and patient-first care, the company is building the future of vein care.
Review and abstract professional medical records to ensure accurate code assignment.
Maintain coding quality, compliance, and productivity standards for preventive and chronic care.
Stay current with coding guidelines and contribute to improving documentation processes.
Sprinter Health's mission is reimagining how people access care by bringing it directly into their homes, using marketplace and last-mile technologies. The tech-forward team has raised over $125M from top investors and enjoys a multi-year runway.
Monitors work volume and work distribution to maintain optimal efficiency.
Reviews and reconciles reports and assigned work queues, troubleshooting problem accounts.
Researches coding questions and provides coding training as needed.
Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children, providing a wide range of care and support. As the region's only independent healthcare system dedicated to children, they offer rewarding career opportunities and encourage employees to be their best.
Codes complex inpatient acute care discharges using ICD-10-CM and ICD-10-PCS codes.
Reviews provider notes and clinical documentation to assign accurate codes.
Collaborates with CDI on discharges, regulatory guidelines, and coding conventions.
Hudson Regional Health is a newly unified healthcare network serving Hudson County through four hospitals. They deliver modern, patient-first care supported by innovation with state-of-the-art procedures and nationally recognized specialists, all within a connected, local network designed to put care first.
Review and validate medical codes for accuracy and compliance.
Provide expert coding guidance and support to clinicians.
Conduct coding audits and quality reviews to ensure adherence to regulatory guidelines.
Mission Healthcare is the largest home health and hospice company in the western United States, located in seven states. They provide comprehensive services to meet the needs of patients and families, delivering care with Compassion, Accountability, Respect, Excellence, and Service (CARES).
Accurately abstracts information from service documentation and assigns CPT, ICD-10, and HCPCS codes for billing compliance.
Reviews and resolves coding denials and completes charge sessions in assigned work queues in a timely manner.
Ensures documentation meets current EM Guidelines and specific payer rules before releasing codes for billing.
UofL Health is a fully integrated regional academic health system with hospitals, medical centers, and numerous physician practice locations. It has over 14,000 team members, including physicians and nurses, focused on delivering patient-centered care.
Performs CPT and ICD10 coding by abstracting from medical records, focusing on complex encounters.
Collaborates with Providers and Clinical areas to ensure accurate medical record reflection of patient services.
Trains physicians and staff on documentation, billing, and coding, while resolving Optum coding edits.
Northwestern Medicine is dedicated to providing a positive and patient-first workplace. They are a leader in the healthcare industry, offering opportunities for employees to contribute to better healthcare across the system.
Responsible for coding and abstracting patient records for professional billing and reimbursement.
Reviews medical records retrospectively and concurrently for accurate diagnosis and procedure coding.
Serves as a resource for coding questions, assists with insurance denials, and makes process improvement recommendations.
Trinity Health is a not-for-profit, faith-based healthcare system providing diverse medical services across 27 states. With 121,000 colleagues and nearly 36,500 physicians, it operates 101 hospitals and numerous care locations, emphasizing compassionate, person-centered care and significant community investment.
Verify and analyze medical record documentation to assign diagnostic and procedural codes using CMS and organizational guidelines.
Serve as a resource for physicians and billing staff, resolving coding discrepancies and ensuring a 95% accuracy rate for charge entry.
Assist in training new employees and collaborate with the central billing office to process charges within two business days.
Munson Healthcare is northern Michigan's largest healthcare system, operating eight community hospitals to serve over half a million residents across 29 counties. The organization emphasizes a values-driven team culture focused on excellence, teamwork, and positivity in a region known for its natural beauty and outdoor lifestyle.
Demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts.
Supports Revenue Cycle goals for timely billing.
Coding experience of 3-5 years required.
Cooper University Health Care is committed to providing extraordinary health care, with a team of extraordinary professionals dedicated to clinical innovations and enhanced access to facilities, equipment, technologies and research protocols. They offer competitive rates, comprehensive benefits, attractive working conditions, and opportunities for career growth.
Codes assigned accounts in accordance with the rules, regulations, and coding conventions set forth by NCHS (CDC) and AMA.
Abstract patient data.
Communicates with Care Providers by creating queries to clarify and improve documentation.
Children's Mercy is a pediatric hospital that is committed to making a difference in the lives of all children and shining a light of hope to the patients and families served. They have been recognized by U.S. News & World Report as a top pediatric hospital for eleven consecutive years.
Responsible for managing and overseeing activities for multiple value streams within the revenue cycle.
Provide ongoing input in the strategic planning of business requirements and corporate objectives for the Revenue Cycle.
Ensure compliance with all federal, state, and local statutes and regulations, as well as all third-party payer policies.
Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state - CHI Franciscan and Virginia Mason. As one integrated health system, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region.
Assigns ICD-10-CM/PCS codes and assigns DRGs for inpatient medical records accounts; assigns ICD-10-CM/PCS codes and CPT codes for outpatient medical record accounts
Abstracts key data elements required for billing
Interacts with providers for clarification of documentation/education
UChicago Medicine has been at the forefront of medicine since 1899 and provides superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, they need employees with passion, talent and commitment… with patients and with each other.
Codes and abstracts hospital medical records for diagnostic and procedural coding.
Utilizes federal, state procedures/guidelines to assure accuracy of coding.
Collaborates with medical staff and clinical documentation improvement (CDI) staff to clarify documentation.
Virtua Health is dedicated to offering quality care through its extensive range of services and facilities. They have over 14,000 colleagues, including over 2,850 doctors, physician assistants, and nurse practitioners committed to providing quality healthcare.
Supervises the coding function and corresponding staff.
Oversees reimbursement process.
Manages auditing and quality control and improvement initiatives.
Piedmont Healthcare aims to provide exceptional patient outcomes. They value diverse teams, a shared purpose, and flexibility, offering wellness programs and comprehensive benefits to support employees' needs and future plans.
Review and analyze medical records to ensure coding accuracy in a timely fashion
Identify opportunities for improvement in coding models
Understand and apply coding guidelines to assign appropriate codes to diagnoses and procedures as supported by clinical documentation
SmarterDx builds clinical AI that is transforming how hospitals translate care into payment. Founded by physicians in 2020, their platform connects clinical context with revenue intelligence, helping health systems recover millions in missed revenue, improve quality scores, and appeal every denial.
Identify and manage changes to medical rules by reviewing policies, transmittals, and bulletins for revision, retirement, or addition.
Build and maintain Clinical Transaction Engine tables, assign CPT/HCPCS codes, and review national policies for integration into medical edits.
Independently prepare data editorials for production release, analyze coding trends, and resolve client issues forwarded by Compliance Support.
Experian is a global data and technology company that powers opportunities for people and businesses by redefining lending, preventing fraud, simplifying healthcare, and creating digital marketing solutions. With over 23,300 employees across 32 countries, it's a FTSE 100 company known for its innovative, people-first culture focused on inclusion and development.